Data Measurement & Reporting Senior Analyst (Medical Disruption Analysis) - Remote
Summary
We are seeking self-motivated and inquisitive data analytics professional with a strong desire to learn and join our team. This individual should be a team player who enjoys working with data in a dynamic and fast-paced environment.
As part of Actuarial Data Strategy & Solutions, the Disruption Analytics team supports presale and renewal process and is responsible for providing provider network reporting which assists potential customers in the decision-making process of the proposal process which drives new sales and client retention.
This role will work collaboratively to support our Stakeholders (Sales and Repricing) with business-critical contract reporting and analysis. The Senior Analyst will be expected to complete day-to-day assigned business requests without immediate supervision. The responsibilities include providing custom and complex reporting needs and discretionary recommendations based on analytical trends and reporting methodologies to deliver accurate results and value-added reporting. This position also collaborates with matrix partners, acting as a team lead and representative for specialized disruption reporting and processes based on product/network and/or market or segment requirements.
Responsibilities
Data manipulation, cleansing and standardization functions for data validation and quality using Microsoft Excel and Access applications. Requires attention to detail and intermediate to advanced skills managing and working with large and complex datasets. Requires knowledge and understanding of processes and requirements related to the process and reporting for specialized products/networks and/or markets/segments
Utilize independent judgment and discretion in analyzing the data supplied to determine best methodology on processing the information to yield the highest possible match results. Delivering information in a timely and efficient manner
Requires combining business knowledge (i.e., products, networks, and provider data) along with data visualization and technical skills to efficiently create the disruption reporting on a case-by-case basis
Perform data quality audits of system match results (visual scan and quality review) and peer review audits to ensure accuracy of system and reporting results and identification of gaps and/or inaccuracies utilizing HCPM/PRDS data, Activity Manager and/or Oracle Review tools to validate provider contract status
Work with Network Contracting to identify and resolve provider data quality issues and raise identified risks or data gaps to management in a timely manner
Provide analytic support and consultation to core stakeholders (Sales, Repricing/Discounts, Data Analytics Teams) related to disruption methodology logic and reporting by collaborating with stakeholders to understand objectives and deliver meaningful disruption provider reporting
Recommend improvements in disruption database tools for efficiency gains and accuracy improvements
Effectively communicate with sales partners to educate them on disruption match logic and methodology. Communicate file specific data gaps and deficiencies that impact overall match results cultivating strong working relationships with stakeholders
Qualifications
Analytical, data visualization and problem solving skills required; experience with healthcare analytics is highly preferred
Intermediate to advanced Microsoft Office skills for Excel and Access
Strong attention to detail and experience working with data or reporting analytics. Experience with large data sets is a plus
Self-motivated, adapt to changes quickly, and function well in fast-paced environment
Demonstrated productivity skills through the efficient use of time and commitment to strong results to meet production and quality demands and standards
Ability to independently prioritize and manage multiple responsibilities while meeting deadlines
Strong verbal and written communication skills, with technical and non-technical audiences
Proven ability to quickly learn new applications, processes, and procedures
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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